Organization
LAFAYETTE FAMILY OPTOMETRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT P. MCCORMICK O.D. (OWNER)
(315) 677-3193
Entity
Organization
Contact information
Practice address
6157 RT 20 E, LAFAYETTE, NY 13084
(315) 677-3193
(315) 677-3196
Mailing address
6157 US ROUTE 20, LA FAYETTE, NY 13084-3404
(315) 677-3193
(315) 677-3196
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AA0619
PTAN
NY
Enumeration date
02/09/2007
Last updated
06/25/2013
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